Employer Memorandum of Understanding
24-Month STEM OPT Extension
This form is intended for the employer of an F-1 international student currently on Optional Practical
Training (OPT) who is requesting or is participating in the 24-month STEM extension of their OPT
work authorization. In order to verify the eligibility of the student for the extension or for new
employment under the extension, this form must be completed in full and submitted to International
Education at Wichita State University along with the completed Form I-983 Training Plan for STEM
OPT Students, pages 1-5. If reporting a change in position title for the STEM OPT employee, an
updated Form I-983 is only necessary if there are material changes to Section 5 of the previously-
submitted Form I-983.
To be completed by the employer ’s hiring official:
Name of OPT Employee:
Position Title of OPT Employee:
Company Name:
Street Address:
City:
State: Zip:
As a representative of the employer, I hereby acknowledge the following:
The F-1 student named above has been offered compensated employment at this company
related to his/her STEM field of study as listed on their current Form I-20
This company is a registered user of the E-Verify program
This company agrees to comply with the Employer Certification on page 2, section 4 of the
Form I-983
I am aware that additional information for employers is available online at the STEM OP
T
H
ub
https://studyinthestates.dhs.gov/stem-opt-hub
If I am reporting a change of position title for the STEM OPT employee, I must assist
the e
mployee in completing an updated Form I-983 if there are material changes to the
Training Plan as described in Section 5 of the previously-submitted Form I-983.
Comp
any Representative Signature: Date: _____________
(Signature valid only if hand-written or applied digitally with a time/date stamp.)
Printed Name:
Phone: ____________
Title: Email:
Please return completed form to:
WSU International Education
1845 Fairmount
Wichita KS 67260-0122
………………………………………………………………………………………………………
Wichita State University | International Education | 1845 Fairmount Street | Wichita KS
67260-0122
tele: (316) 978-3232 | fax: (316) 978-3777 | e-mail: iss@wichita.edu
06/2017
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